2017-10-27 Coachella Vally Housing CelebrationAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions �°� A Public Document
1. Agency Name K t sta p W
e
City of Palm Springs CITY OF P. L M S P A I I'il�r = Division, Department, or Region (if applicable) 2010 JAN 1 AM $: 5 Fe Only
Designated Agency ontaet(Name.Me) F nt CITY
Christina Chartler, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Part 3, r
760-322-8366 chdstina.chartier alms do sca. Date of Original Filing:
@P P 9 9ov (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Face Value of Each Ticket/Pass $ 75.00
Event Description: CV Housing Anniversary Celebration Date(s) 10 f 27 f 17 1
Provide Title/Expfane6on
Tcket(s)/Pass(es) Provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Official's Name (Last. First!
3. Recipients
-Use Section A to identify the agency's department or unit. *Use Section 8 to identify an individual. -Use Section C' to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Ticket(sy Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Ticket(sy Identify one of the following:
(Last, First) I posses
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert 1 namcfrf TeremaNalRole or Other de
Public Purpose as define by PS Resolution No 22454
Section 1 d vii
Ceremonial Role ❑ Other ❑ !n: cm.e ❑
if cheoft'Commonfal Rde or Tfhef de
Name of Outside Organization Number
C. (include address and description) of Ticket(sy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements. { -7
_�/ David Ready City Manager
Signature of Agerk Fjq4rjF Designee Print Name Title (month. day, year)
Com
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866fASK-FPPC (8661276.3772)